Ukususela kwi-CT Scans kwiCreatcer Treatment, izigulane zingaba zixakeke
Isixa semirhumo esisetyenziselwa kwizigulane ukwenzela ukuxilongwa kwezonyango kunye neenjongo zonyango kuye kwabizwa ngombuzo kwiminyaka yamuva. Nangona iingcali ezimbalwa zingathandabuzekiyo ngamanye amaxesha inzuzo yokulondoloza impilo yokusebenzisa imitha ngokufanelekileyo ngexesha elifanelekileyo, abanye bathi ukusetyenziswa kwayo ngokweqile kunokuba yingozi kwizigulane.
Njengawo nantoni elungileyo kwaye iluncedo, kufuneka kubekho ukulinganisela kwindlela umbane osebenza ngayo.
Izigulane ze-Smart ziqonda ukuba yintoni imirhumo, indlela esetyenziswa ngayo emzimbeni, ingozi kunye nemivuzo, kunye neenzuzo kunye neengozi zokusebenzisa i-radiation kunyango lwabo.
Yintoni iRadioation?
I-radiation yindlela yamandla eyenzeka ngokwemvelo kwaye inokubakho ukusetyenziswa ngokuzikhethela. I-radiation ayifani nokungafani nombane, okwenzeka ngokwemvelo ngendlela yombane okanye umbane omile, kodwa unokubambisana ukuqhuba izixhobo okanye ukuvula izibane. Ngokuxhomekeke kwindlela umbane osetyenziswa ngayo, kunokunceda kakhulu, okanye kunokusibulala ekugqibeleni.
Kwakunjalo nangombane. Sifumene ukulandelelanisa ubungakanani bemimandla emisebe ngokwezendalo ezibonakalayo ezifana nokukhanya kwelanga, umhlaba, amatye, amanzi kunye nomoya. Amanqanaba aphantsi kakhulu emisakazo adluliselwa kwizinto zemihla ngemihla ezinjengamabonakude kunye nama-radios, iifowuni, izithuthi zogaraji ezizenzekelayo, ii-ovens microwaves - nantoni na ethembela kwiindidi ezithile zamazaza omsakazo ukusebenza.
Inani elikhulu kunye nelininzi lemirhumo liveliswa ngezinto ezifana nezityalo zamandla enyukliya okanye izixhobo zonyango ezisetyenziselwa ukucinga kunye nokunyango.
Izaziso zenzelwe njani iinjongo zonyango?
Cinga emva kobomi bakho bonyango. Ngaba uke wafumana i- CT ("ikati" - i-computed tomography) yokukhangela, i- PET scan (positron emission tomography), okanye i- x-ray ?
Bonke abathathu basebenzisa imisebe yokunceda ukufumanisa iingxaki zonyango. Ungaziwa ngamanye amagama, kwakhona. Amammogram asebenzisa imisebe ukuze ahlolisise umdlavuza webele. I-DXA (DEXA) icinga ukusebenzisa i-X-ray ukuxilonga i-osteoporosis.
Ukongeza kwi-diagnostics, i-rayation iyisitori sokonyango, kwakhona. Umhlaza wesifuba, umhlaza wesifo somhlaza, umhlaza wamaphaphu kunye nezinye i-cancer zingaphathwa unyango ngeyeza lokuzama ukuphazamisa okanye ukutshabalalisa izicubu okanye ezinye iiseli zomhlaza. I-radiation oncology iyigama elisetyenziselwa ukuchaza eli hlobo lonyango.
Ukufumana unyango lomhlaza, i-boram ecacileyo kakhulu, ejoliswe kwi-radiation ikhonjiswe kwiindawo ezinengxaki yomhlaza, kwaye amandla ombane asetyenziselwa ukubulala amangqamuzana amabi aze abhubhise ezo zicuba. Ngenxa yokuba ingajoliswe kakuhle, iiseli eziphilileyo kwiindawo ezikufutshane ziya kusinda.
Imivavanyo eyahlukeneyo yee-radiation-based based medical tests njenge-CT scans ayijoliswanga. Zivelisa imifanekiso ebanzi, ihlanganisa izicubu ezinobungozi kunye nomzimba.
Ingakanani Imboniselo Yomlilo?
Xa kuziwa kwizicelo zonyango, akukho kubonakala ngathi kukho izikhokelo ezicacileyo ezithi xela ukuba umbane okhulu kangakanani. Ngaphezu koko, inkcazelo "kakhulu" ingahluka ukusuka kwisigulane ukuya kwisigulane.
Ngokomzekelo, isigulane esifumana ngonyango oluchanekileyo lwe-radiation ukutshabalalisa i-tumor iya kufumana amanani angaphezulu kunomntu ofumana i-CT scan. Isixa sokungcola sikulungele isigulane somhlaza ngaloo mzuzwana, kodwa ukuba umntu onempilo eboniswe kwimililo eninzi ngokubanzi, inokuba yinto eninzi. Ngokweqile, i-overdoses yezokwelapha zibizwa ngokuba ngumuthi we-radiation okanye i-radiation syndrome.
Ukuhlanganiswa kwemali kunye nokuphindaphindiweyo kokubhengezwa, inxalenye yomzimba, kunye nexesha lexesha yimiba enokukunceda ukuba ichaze ukuba ngaba kukho ukugqithisa. Ngoko, umzekelo, ubuninzi bezilwanyana ezininzi kwixesha lokuphila alinakuba yingxaki, ngelixa ezili-12 izicatshulwa ngonyaka zingasondeza isigulane.
Kwezinye iimeko, "kakhulu" yiphumo leephene. Ezi zilingo eziphezulu ezisetyenziselwa iinjongo ze-oncology zenzakazo zingonakalisa ukuba i-boram ayijoliswanga ngokuchanekileyo. Izigulane zingadlulelwa xa izixhobo zokuvavanywa kweemitha zikarhoxiswa kakuhle, okanye xa umntu enza iphutha lokufaka izilungiso zezilingo.
Imali ingaba yinto , nayo. Kwiinkqubo zonyango ezixhaswa ngenzuzo, okanye apho kuqhutywe khona unyango olukhuselayo , uphando lubonisa ukuba izigulane zinikezelwa ngaphezulu kwezi mvavanyo ezixhomekeke kwimisebe ngaphezu kweendawo apho ezingekho izinto. Ezi ziphumo ezongezelelweyo zingabangela ukugqithiseleka kombane.
Yintoni Eyenzekayo Ukuba Siyazibonakaliswa Kwimilambo Eninzi?
Ukugqithisa kakhulu kumbane kubangele zombini iingxaki ezifutshane kunye nexesha elide.
Xa umzimba uphelile, iiseli eziphilileyo kunye nezicubu ziyachithwa. Kukho iimpawu ezibonakala emva kwexesha elifutshane emva kokugqithisa (iiyure okanye iintsuku) ezinjengezonyameko, ukuhlanza, isifo sohudo, ukuphelelwa yintlungu, ukulahleka kweenwele, ukutshisa isikhumba okanye isikhumba sokukhupha, ukulahleka kweenwele kunye nabanye.
Ukugqithisa kakhulu kwi-radiation ngexesha elithile kunokukhokelela kwizifo ezingapheli ezifana nomhlaza, ekugqibeleni zibangele ukufa. Olunye uphando lwabonisa ukuba ama-15,000 aseMelika afa minyaka yonke ngokuphuma kweemitha ngexesha lokuphila kwabo kwimvelo kunye neminye imithombo. Olu cwaningo luye lwabonisa ukuba oogqirha abaninzi, kuquka i-radiologists, abaziqondi iingozi zokuxhatshazwa kombane.
Ukugqithisa okugqithiseleyo konke ngexesha elinye (oko kwenzeka ntoni xa ukusetyenziswa kwemishini kungasebenzi).
Indlela Yokunciphisa Umboniso Wakho kwiMiyeza yezoNyango
Okokuqala, vavanya umngcipheko ngemvuzo. Unokwenza uvavanyo oluqhagamshelwano nodokotela wakho. Ngokomzekelo, xa kuziwa ngonyango lomhlaza, ukutshatyalaliswa okanye ukunciphisa ubukhulu be-tumor kuya kulungela umngcipheko wemithwalo yemitha. Nangona kunjalo, ukuba unquma ukufumana isigqibo sesibini okanye sesithathu malunga nokuxilongwa kwakho, kwaye ugqirha ngamnye ugxininisa ekusebenziseni i-CT yakhe yeskrini kunokuba nje ufunde oko sele usenayo, ngoko ukungafunwa kungabalulekanga. Xoxa malunga neenkxalabo zakho kunye nogqirha wakho ukuqinisekisa ukuba kukho enye eyamkelekileyo.
Ukuba ukhulelwe okanye uxela ukuba unokukhulelwa, qiniseka ukuba ukhankanya ukuba ugqirha wakho. Ukubonakaliswa ngexesha lokukhulelwa kungalimaza umntwana wakho.
Ukuba uya kufumana unyango lwe-radiation ngomhlaza, ngoko kunokunceda ukubuza i-oncologist yakho ukuba yeyiphi i dose eya kusetyenziswa , uze ubuze uchwepheshe ukuba aqinisekise ukuba umlinganiselo, ukuthelekisa amanqaku. Ukuba iimpendulo azifani, buza umntu ukuba aphinde ahlole.
Xa uza kufumana uvavanyo lwezonyango olwenziwe ngamayeza, cela ukuba zihlanganise iingxenye zomzimba wakho ungavavanywa . Umzekelo omhle yindlela indlela wamazinyo akho agcina ngayo i-torso yakho nesisu ngaphambi kokuthatha i-x ray yamazinyo akho.
Gcina yonke imvavanyo yakho yezonyango, ngokukodwa iimvavanyo zolu hlobo ezifana ne-X-ray, i-CT, kunye ne-PET. (Qaphela - i-MRIs ayisebenzisi imisebe, kodwa ihlakaniphile ukuyilandelela, nayo.) Yenza uludwe olubandakanya umhla wokuvavanya, uhlobo lovavanyo, kunye novavanyo olwenziwa. Ngexesha elizayo ugqirha uyalela enye yezo vavanyo kuwe, umbonise uluhlu uze ubuze ukuba kukho uvavanyo olungezinye ukukhusela ukugqithiswa kombane.
Ukuba ungathanda ukulandelela ukuchayeka kwakho kwemitha, kukho ezinye izixhobo ezikhoyo ukwenjenjalo:
- I-Colon Cancer Expert iye yahlanganisa ulwazi malunga namanqanaba emitha .
- Bala i-Radiation Dose yakho - Ulwazi oluvela kwi-Arhente yokuKhuselwa kweNdalo (EPA)
- Iinkqubo zifumaneka, umzekelo, kukho isicelo esibizwa ngokuba yiRipoti yePaspoti.
> Imithombo:
> I-Medline Plus kwiiNational Institutes of Health: Exposure Radiation
> I-National Cancer Institute: I-Radiation Therapy for Cancer: Imibuzo neempendulo (Juni 30, 2010)
> David J. Brenner, Ph.D., D.Sc., no-Eric J. Hall, D.Phil., D.Sc. I-Tomography ecatshulwayo-Umthombo owandayo we-Radiation Exposure New England Journal of Medicine November 2007 Umqulu 357: 2277-2284
> Isikhokelo seMpilo ye-New York Times - Ukugula kweMitha (ngoMatshi 2010)